| NPI | 1598995110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16358) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 00079347) |
| 1041C0700X Social Worker Clinical (Licence: NY 00080664) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2019-10-03 |